醫(yī)學(xué)英語(yǔ)查房詳細(xì)培訓(xùn)課件

1、醫(yī)學(xué)英語(yǔ)查房詳細(xì)培訓(xùn)課件Contents 一條路線二個(gè)功能三個(gè)等級(jí)四個(gè)入口五個(gè)程序六個(gè)人物七個(gè)思路八個(gè)業(yè)務(wù)醫(yī)學(xué)英語(yǔ)查房詳細(xì)2Contents 一條路線五個(gè)程序醫(yī)學(xué)英語(yǔ)查房詳細(xì)21. Significance - bilingualism醫(yī)學(xué)英語(yǔ)查房詳細(xì)31. Significance - bilingualism2. Functions Theory Operation醫(yī)學(xué)英語(yǔ)查房詳細(xì)42. Functions Theory 3. Tertiary system ground 一級(jí)查房：經(jīng)治醫(yī)師查房，分晨、午、晚三次。普查全組病人，為“醫(yī)患對(duì)話”。二級(jí)查房：主治醫(yī)師查房，外稱 Teaching

2、 Attending Rounds，每天一次。輪流檢查所轄各組病人，除醫(yī)患對(duì)話，尚需“醫(yī)醫(yī)對(duì)話”。三級(jí)查房：主任查房，外稱 professors ground 或 chiefs round，每周二次;每次檢查主治醫(yī)師提供1至2病例; 主要突出“醫(yī)醫(yī)對(duì)話”。大查房：great rounds 英美普及，除本科室外，其他相關(guān)科室均參加，國(guó)內(nèi)稱大型會(huì)診討論。醫(yī)學(xué)英語(yǔ)查房詳細(xì)53. Tertiary system ground 一級(jí)查4. Functions 糾錯(cuò)解決學(xué)生實(shí)際問(wèn)題history: missing 不全exam: mistake 不正diagnosis: misdirect 不明 trea

3、tment: misdeal 不當(dāng)醫(yī)學(xué)英語(yǔ)查房詳細(xì)64. Functions 糾錯(cuò)解決學(xué)生實(shí)際問(wèn)題醫(yī)學(xué)英語(yǔ)查Missing 病史不全Visiting Surgeon: Have you noticed his light color of his stool?Intern: Uh, Im sorry I havent. 醫(yī)學(xué)英語(yǔ)查房詳細(xì)7Missing 病史不全Visiting Surgeon: Mistakes 檢查不規(guī)Director: Dr Li, is there any rales that you heard in this patient?Intern: I heard no r

4、ales in this patient.Director: Please listen to it again. Can you hear fine moist rale?Intern: Yes, I got it.Director: Why didnt you hear it? Intern: (No response)Director: You only paid attention to the front chest and neglect the auscultation on base of the back.醫(yī)學(xué)英語(yǔ)查房詳細(xì)8Mistakes 檢查不規(guī)Director: Dr

5、Li, Misdirect 診斷不清Visiting Physician: Is it necessary for us to do a liver biopsy? Intern: Maybe its unnecessary. Visiting Surgeon: Sorry. You should answer me its necessary because the confirmed diagnosis of hepatic lesion often depends on the liver biopsyin addition to ultrasound. However it will

6、be decided by the director. 醫(yī)學(xué)英語(yǔ)查房詳細(xì)9Misdirect 診斷不清Visiting PhysiciMisdeal 治療不當(dāng)Resident: I assume that you blocked the neurogenic phase with atropine. How did you block the hormonal phase?Director: I put down a Levin tube, and the patient on constant gastric suction.Resident: This will keep the gast

7、ric contents from entering the duodenum and the production of secretin, which, in turn, would increase the liberation of pancreatic enzymes, thus adding to the insult.醫(yī)學(xué)英語(yǔ)查房詳細(xì)10Misdeal 治療不當(dāng)Resident: I assume5. procedures 交班 morning meeting：住院總醫(yī)師；外稱 Senior Residents Morning Report引言 introduction：主治醫(yī)師

8、；提出重點(diǎn)查房病例，簡(jiǎn)述棘手問(wèn)題病史報(bào)告 case presentation：實(shí)習(xí)醫(yī)生，可有無(wú)診斷，診治計(jì)劃須系統(tǒng)教學(xué)查房對(duì)話 teaching dialogue：在上下級(jí)醫(yī)生之間進(jìn)行；著重糾錯(cuò)小結(jié) summary：主治醫(yī)師對(duì)主任查房作應(yīng)答，提出整改措施醫(yī)學(xué)英語(yǔ)查房詳細(xì)115. procedures 交班 morning meeti6. figuresDirector 主任 Visiting physician 主治醫(yī)師Chief resident 住院總醫(yī)師 Residents 住院醫(yī)師Interns 實(shí)習(xí)醫(yī)師 Patient 病人 醫(yī)學(xué)英語(yǔ)查房詳細(xì)126. figuresDirector 主任 ResideRequirements for playBased on NEJM case recordSimplify the case presentation ( 3m)1個(gè)中心2個(gè)功能3級(jí)查房4 個(gè)糾錯(cuò)5個(gè)步驟6個(gè)人物7個(gè)思維8個(gè)行為醫(yī)學(xué)英